Individual
MRS. MEGHAN JANELLE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4600 E SHEA BLVD, SUITE 101, PHOENIX, AZ 85028-6024
(602) 619-6061
(602) 368-8605
Mailing address
4600 E SHEA BLVD, SUITE 101, PHOENIX, AZ 85028-6024
(602) 619-6061
(602) 368-8605
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4716
AZ
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
4716
AZ
225XP0200X
Pediatric Occupational Therapist
Primary
4716
AZ
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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